Organization
LILLY PAD HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HAILES (OWNER)
(601) 410-5836
Entity
Organization
Contact information
Practice address
103 MILLCREEK CORS STE B, BRANDON, MS 39047-9011
(601) 410-5836
(601) 410-5836
Mailing address
103 MILLCREEK CORS STE B, BRANDON, MS 39047-9011
(601) 410-5836
(601) 410-5836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002685282
—
MS
Enumeration date
05/13/2026
Last updated
05/13/2026
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